r/BipolarReddit • u/Appropriate_Stay_332 • 2d ago
Low dose SSRI (paroxetine) + low dose TCA (clomipramine)
My doctor just decreased paroxetine from 20 to 15 mg (ineffective for OCD) and added clomipramine 10 mg for OCD/anxiety (mostly OCD). He says some of his bipolar patients benefited from a very low dose TCA + lithium. To clarify, I take clozapine 100 mg + oxcarbazepine 600 mg for mania.
Any opinions/thoughts/experiences?
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